KUSHAN KETAN SHAH

COLTON, CA
NPI1750005849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA63312)
Enumeration Date2022-10-03
Last Update Date2026-03-06
Business Address
KUSHAN KETAN SHAH
1300 E COOLEY DR
COLTON, CA 92324-3905
Phone number: 909-370-4100
Mailing Address
KUSHAN KETAN SHAH
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone number:
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